Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACY L. BLACKBURN, D.O.
ActiveSTACY L. BLACKBURN, D.O. is a Family Medicine healthcare provider located in PRAIRIE DU CHIEN, Wisconsin. NPI 1952551525 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · PRAIRIE DU CHIEN, WI
Registration Details
- NPI Number
- 1952551525
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 19, 2008 (17.8587986464 yrs)
- Last Updated
- Sep 16, 2020
- License
-
52150 (WI)
Practice Information
- Address
-
800 BLACKHAWK AVENUEPRAIRIE DU CHIEN, WI, 53821Browse WI providers · Browse ZIP 53821
- Phone
- 6083260808
- Fax
- 6083260810
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in PRAIRIE DU CHIEN, WI
| Name | Credential | NPI |
|---|---|---|
| WALTER R BOISVERT | MD | 1003810821 |
| DR. MARK A GRUNWALD | MD | 1336144914 |
| ANN L GRUNWALD | MD | 1174528756 |
| KURT J JORGENSEN | MD | 1467458844 |
| ROBERT T KEY | MD | 1801886312 |
| MICHAEL J ROGGE | MD | 1023008539 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.